Central WV Community Action

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

CENTRAL WV COMMUNITY ACTION

Practice address

106 Frederick St
Clarksburg, WV 26301-4259

Phone

(304) 622-8495

Fax

(304) 622-4976

NPI assigned

Apr 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda Linville

Title

Executive Director

Phone

(304) 622-8495

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801011952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1070",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263021070",
            "telephone_number": "304-622-8495",
            "fax_number": "304-622-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FREDERICK ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263014259",
            "telephone_number": "304-622-8495",
            "fax_number": "304-622-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WV COMMUNITY ACTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINVILLE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-622-8495"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9030047000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raji Carson, OTR/L
• Lisa Carter
• Kelli Casto
• Matthew Joseph Casto
• Robert Casto
• Jessica Chadwick
• Angela Jean Chamberlain
• Laurel Victoria Chambers, PHARMD
• Lori Marie Champaign
• Sokhom Raphael Chan, M.D.

• Voluntary or Charitable Agency in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Voluntary or Charitable Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.